While there is still no consensus on the treatment of ocular myasthenia gravis, an Italian team conducted a retrospective study of 174 patients initially diagnosed with an ocular form of myasthenia gravis:
- 112 underwent thymectomy at the ocular stage of myasthenia gravis, 62 at the generalised stage;
- 29.3% had thymoma;
- the stable complete remission rate was higher for patients operated on at the ocular stage (23.2%) than for patients operated on at the generalised stage (11.3%), with the difference still higher at 5 years in patients without thymoma.
For the authors, these results support early thymectomy in certain patients.
